    <script type="text/javascript">
      jQuery(document).ready(function() {
        /////////////////////
        // Readonly Fields //
        /////////////////////
        jQuery('li.gf_readonly textarea, li.gf_readonly input').attr('readonly','readonly');
        jQuery('li.gf_readonly select option').each(function() {
          if (this.selected && (this.text !== '--' || this.text !== '')) {
            jQuery(this).parent().attr('readonly','readonly').trigger('chosen:updated');
          }
        });
   
        // /////////////////////
        // // Disabled Fields //
        // /////////////////////
        // 
        // We are handling this feature in the theme ss-footer.js file instead due to specific req. for the theme
        // 
        // jQuery('li.gf_disabled textarea, li.gf_disabled input').attr('disabled','disabled');
        // jQuery('li.gf_disabled select option').each(function() {
        //   if (this.selected && this.text !== '--' && this.text !== '') {
        //     jQuery(this).parent().attr('disabled','disabled');
        //   }
        // });
        // // differences described here: http://stackoverflow.com/a/7730719/634386
      });

      ////////////////////////////
      // DatePicker Alterations //
      ////////////////////////////
      if (typeof gform !== 'undefined') {
        gform.addFilter( 'gform_datepicker_options_pre_init', function( optionsObj, formId, fieldId ) {
          optionsObj.firstDay = 0;
          /*
          if ( formId == 7 && fieldId == 62 ) {
            optionsObj.minDate = '+1d';
          }
          if ( formId == 7 && fieldId == 47 ) {
            optionsObj.maxDate = '-14y';
          }
          */
          if ( formId == 4 && fieldId == 10 ) {
            optionsObj.minDate = '+2d';
          }
          if ((formId == 3 && fieldId == 29) ||
              (formId == 4 && fieldId == 10)) {
              // optionsObj.firstDay = 1;
              optionsObj.beforeShowDay = jQuery.datepicker.noWeekends;
          }
          return optionsObj;
        });
      }
    </script>
    {"id":3849,"date":"2019-06-11T20:54:38","date_gmt":"2019-06-12T01:54:38","guid":{"rendered":"https:\/\/uuu.smartstartcanada.ca\/?page_id=3849"},"modified":"2019-08-20T10:38:30","modified_gmt":"2019-08-20T15:38:30","slug":"demander-un-rapport","status":"publish","type":"page","link":"https:\/\/old.smartstartcanada.ca\/fr\/espace-client\/demander-un-rapport\/","title":{"rendered":"Demander un rapport"},"content":{"rendered":"<script>\nvar gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),document.addEventListener(\"gform\/theme\/scripts_loaded\",function(){gform.themeScriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,themeScriptsLoaded:!1,isFormEditor:()=>\"function\"==typeof InitializeEditor,callIfLoaded:function(o){return!(!gform.domLoaded||!gform.scriptsLoaded||!gform.themeScriptsLoaded&&!gform.isFormEditor()||(gform.isFormEditor()&&console.warn(\"The use of gform.initializeOnLoaded() is deprecated in the form editor context and will be removed in Gravity Forms 3.1.\"),o(),0))},initializeOnLoaded:function(o){gform.callIfLoaded(o)||(document.addEventListener(\"gform_main_scripts_loaded\",()=>{gform.scriptsLoaded=!0,gform.callIfLoaded(o)}),document.addEventListener(\"gform\/theme\/scripts_loaded\",()=>{gform.themeScriptsLoaded=!0,gform.callIfLoaded(o)}),window.addEventListener(\"DOMContentLoaded\",()=>{gform.domLoaded=!0,gform.callIfLoaded(o)}))},hooks:{action:{},filter:{}},addAction:function(o,r,e,t){gform.addHook(\"action\",o,r,e,t)},addFilter:function(o,r,e,t){gform.addHook(\"filter\",o,r,e,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,r){gform.removeHook(\"action\",o,r)},removeFilter:function(o,r,e){gform.removeHook(\"filter\",o,r,e)},addHook:function(o,r,e,t,n){null==gform.hooks[o][r]&&(gform.hooks[o][r]=[]);var d=gform.hooks[o][r];null==n&&(n=r+\"_\"+d.length),gform.hooks[o][r].push({tag:n,callable:e,priority:t=null==t?10:t})},doHook:function(r,o,e){var t;if(e=Array.prototype.slice.call(e,1),null!=gform.hooks[r][o]&&((o=gform.hooks[r][o]).sort(function(o,r){return o.priority-r.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==r?t.apply(null,e):e[0]=t.apply(null,e)})),\"filter\"==r)return e[0]},removeHook:function(o,r,t,n){var e;null!=gform.hooks[o][r]&&(e=(e=gform.hooks[o][r]).filter(function(o,r,e){return!!(null!=n&&n!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][r]=e)}});\n<\/script>\n\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_5' ><form method='post' enctype='multipart\/form-data'  id='gform_5'  action='\/fr\/wp-json\/wp\/v2\/pages\/3849' data-formid='5' novalidate>\n                        <div class='gform-body gform_body'><ul id='gform_fields_5' class='gform_fields top_label form_sublabel_below description_below validation_below'><li id=\"field_5_16\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_16'><span class='gform-field-label__text'>Facebook<\/span><\/label><div class='ginput_container'><input name='input_16' id='input_5_16' type='text' value='' autocomplete='new-password'\/><\/div><div class='gfield_description' id='gfield_description_5_16'>This field is for validation purposes and should be left unchanged.<\/div><\/li><li id=\"field_5_12\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><p>Veuillez remplir le formulaire suivant pour demander un rapport sur votre compte.<\/p><\/li><li id=\"field_5_11\" class=\"gfield gfield--type-radio gfield--type-choice gfield--input-type-radio gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label' ><span class='gform-field-label__text'>Province (requis)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_5_11'>\n\t\t\t<li class='gchoice gchoice_5_11_0'>\n\t\t\t\t<input name='input_11' type='radio' value='Alberta'  id='choice_5_11_0'    \/>\n\t\t\t\t<label for='choice_5_11_0' id='label_5_11_0' class='gform-field-label gform-field-label--type-inline'>Alberta<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_11_1'>\n\t\t\t\t<input name='input_11' type='radio' value='British Columbia'  id='choice_5_11_1'    \/>\n\t\t\t\t<label for='choice_5_11_1' id='label_5_11_1' class='gform-field-label gform-field-label--type-inline'>Columbie-Britannique<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_11_2'>\n\t\t\t\t<input name='input_11' type='radio' value='Manitoba'  id='choice_5_11_2'    \/>\n\t\t\t\t<label for='choice_5_11_2' id='label_5_11_2' class='gform-field-label gform-field-label--type-inline'>Manitoba<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_11_3'>\n\t\t\t\t<input name='input_11' type='radio' value='Ontario'  id='choice_5_11_3'    \/>\n\t\t\t\t<label for='choice_5_11_3' id='label_5_11_3' class='gform-field-label gform-field-label--type-inline'>Ontario<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_11_4'>\n\t\t\t\t<input name='input_11' type='radio' value='Saskatchewan'  id='choice_5_11_4'    \/>\n\t\t\t\t<label for='choice_5_11_4' id='label_5_11_4' class='gform-field-label gform-field-label--type-inline'>Saskatchewan<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_11_5'>\n\t\t\t\t<input name='input_11' type='radio' value='Yukon'  id='choice_5_11_5'    \/>\n\t\t\t\t<label for='choice_5_11_5' id='label_5_11_5' class='gform-field-label gform-field-label--type-inline'>Yukon<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_11_6'>\n\t\t\t\t<input name='input_11' type='radio' value='Qu\u00e9bec'  id='choice_5_11_6'    \/>\n\t\t\t\t<label for='choice_5_11_6' id='label_5_11_6' class='gform-field-label gform-field-label--type-inline'>Qu\u00e9bec<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_5_11_7'>\n\t\t\t\t<input name='input_11' type='radio' value='Northwest Territories'  id='choice_5_11_7'    \/>\n\t\t\t\t<label for='choice_5_11_7' id='label_5_11_7' class='gform-field-label gform-field-label--type-inline'>Northwest Territories<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_5_4\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_4'><span class='gform-field-label__text'>Pr\u00e9nom (requis)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_4' id='input_5_4' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_5\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_5'><span class='gform-field-label__text'>Deuxi\u00e8me pr\u00e9nom<\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_5_5' type='text' value='' class='medium'      aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_6\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_6'><span class='gform-field-label__text'>Nom de famille (requis)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_6' id='input_5_6' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_13\" class=\"gfield gfield--type-email gfield--input-type-email gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_13'><span class='gform-field-label__text'>Email (requis)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_13' id='input_5_13' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_5_15\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_15'><span class='gform-field-label__text'>Date de naissance (requis)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='yyyy-mm-dd'\n\t\t\t\t\tid='input_5_15'\n\t\t\t\t\tclass='datepicker gform-datepicker mdy datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_15'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"99\/99\/9999\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_5_15' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_5_15' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_5_15' aria-label='Date de naissance (requis): Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_5_14\" class=\"gfield gfield--type-text gfield--input-type-text gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_14'><span class='gform-field-label__text'>Permis de conduire<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_text'><input name='input_14' id='input_5_14' type='text' value='' class='medium'     aria-required=\"true\" aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_5_7\" class=\"gfield gfield--type-date gfield--input-type-date gfield--input-type-datepicker gfield--datepicker-default-icon gf_left_half gfield_contains_required field_sublabel_below gfield--no-description field_description_below field_validation_below gfield_visibility_visible\"  ><label class='gfield_label gform-field-label' for='input_5_7'><span class='gform-field-label__text'>Date du rapport (requis)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_date'>\n\t\t\t\t\t<input\n\t\t\t\t\tplaceholder='yyyy-mm-dd'\n\t\t\t\t\tid='input_5_7'\n\t\t\t\t\tclass='datepicker gform-datepicker ymd_dash datepicker_with_icon gdatepicker_with_icon'\n\t\t\t\t\ttype='text'\n\t\t\t\t\tname='input_7'\n\t\t\t\t\tvalue=''\n\t\t\t\t\t \n\t\t\t\t\taria-invalid=\"false\" \n\t\t\t\t\taria-required=\"true\"\n\t\t\t\t\t \n\t\t\t\t\t\n\t\t\t\t\tdata-mask=\"9999-99-99\"\n\t\t\t\t\t\/>\n\t\t\t\t<kbd id='keyboardHint_input_5_7' hidden class='down'><\/kbd>\n\t\t\t\t<button type='button' id='datepicker_toggle_input_5_7' class='gform-datepicker-toggle gform-datepicker-toggle--default accCalendar aria-date-picker gform-button gform-theme-button gform-theme-button--simple gform-theme-button--simple-in-ctrl' aria-expanded='false' aria-controls='input_5_7' aria-label='Date du rapport (requis): Choose date on calendar' >\n\t\t\t\t\t\t\t<span class=\"gform-calendar-icon gform-datepicker-toggle-icon gform-datepicker-toggle-icon--default dashicons dashicons-calendar-alt\" aria-hidden=\"true\"><\/span>\n\t\t\t\t\t\t<\/button>\n\t\t\t<\/div><\/li><li id=\"field_5_8\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox gf_left_half gfield_contains_required field_sublabel_below gfield--has-description field_description_below field_validation_below gfield_visibility_visible gfield--choice-align-vertical\"  ><label class='gfield_label gform-field-label gfield_label_before_complex' ><span class='gform-field-label__text'>Type de rapport (requis)<\/span><span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_5_8'><li class='gchoice gchoice_5_8_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.1' type='checkbox'  value='Most Recent Report'  id='choice_5_8_1'   aria-describedby=\"gfield_description_5_8\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_1' id='label_5_8_1' class='gform-field-label gform-field-label--type-inline'>Most Recent Report<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_8_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.2' type='checkbox'  value='Last 3 Reports'  id='choice_5_8_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_2' id='label_5_8_2' class='gform-field-label gform-field-label--type-inline'>Last 3 Reports<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_8_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.3' type='checkbox'  value='Last 2 Reports'  id='choice_5_8_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_3' id='label_5_8_3' class='gform-field-label gform-field-label--type-inline'>Last 2 Reports<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_8_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.4' type='checkbox'  value='Rapport final'  id='choice_5_8_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_4' id='label_5_8_4' class='gform-field-label gform-field-label--type-inline'>Rapport final<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_5_8_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_8.5' type='checkbox'  value='All Reports'  id='choice_5_8_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_5_8_5' id='label_5_8_5' class='gform-field-label gform-field-label--type-inline'>All Reports<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><div class='gfield_description' id='gfield_description_5_8'>Reports will only be available after a calibration appointment has been completed.\nPlease note that Ontario participants will only receive a report if a violation has occurred.<\/div><\/li><\/ul><\/div>\n        <div class='gform-footer gform_footer top_label'> <button type='submit' id='gform_submit_button_5' class='gform_button button' onclick='gform.submission.handleButtonClick(this);' data-submission-type='submit' >Envoyer<\/button> \n            <input type='hidden' class='gform_hidden' name='gform_submission_method' data-js='gform_submission_method_5' value='postback' \/>\n            <input type='hidden' class='gform_hidden' name='gform_theme' data-js='gform_theme_5' id='gform_theme_5' value='legacy' \/>\n            <input type='hidden' class='gform_hidden' name='gform_style_settings' data-js='gform_style_settings_5' id='gform_style_settings_5' value='[]' \/>\n            <input type='hidden' class='gform_hidden' name='is_submit_5' value='1' \/>\n            <input type='hidden' class='gform_hidden' name='gform_submit' value='5' \/>\n            \n            <input type='hidden' class='gform_hidden' name='gform_currency' data-currency='CAD' value='Rk0Ut8Xqmwng0X7YySAMagtVu0fzGMdMkb10kJVw1IddUvX+KabBaTqZIVjUiCUEMmAOZ\/e4h8BGMpKn64GhNz0DwOCYswuvQSWCZLH0QQNYRHU=' \/>\n            <input type='hidden' class='gform_hidden' name='gform_unique_id' value='' \/>\n            <input type='hidden' class='gform_hidden' name='state_5' 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